Senior Accountant � Mission-Driven Nonprofit Healthcare

Location: Hybrid
Department: Health Services Finance
Employment Type: Full-Time

About the Opportunity

Make a meaningful impact by using your accounting expertise to strengthen community health and social service programs. We�re seeking a Senior Accountant who is passionate about nonprofit work, committed to financial integrity, and eager to support programs that expand access to essential care.

In this key role, you�ll manage grant compliance, financial reporting, and accounting functions that ensure resources reach the individuals and families who need them most.

Key Responsibilities

Accounting & Financial Operations

• Prepare and process monthly journal entries
• Perform monthly balance sheet reconciliations
• Support Medicare/Medicaid cost reports, the 330 Grant Budget, and UDS reporting
• Lead special accounting projects as needed

Grant Compliance & Billing

• Prepare accurate, timely Health Center grant invoices and reports
• Submit reimbursement requests with required documentation
• Monitor budget vs. actuals and provide financial projections
• Review accounts receivable and follow up with funding partners

Financial Reporting & Analysis

• Generate monthly financial reports by grant, location, and department
• Provide ad-hoc financial analysis to leadership
• Communicate financial trends or irregularities to the Director of Finance
• Collaborate with Program Leaders on grant budgets and financial reviews

Organizational Support

• Participate in the annual budgeting process
• Prepare documentation for state and federal site visits
• Assist with annual audit preparation

Required Qualifications

• Bachelor�s Degree in Accounting, Finance, or related field
• Minimum 5 years of nonprofit experience (grant reporting, budgeting, compliance)
• Knowledge of OMB 2 CFR Part 200
• Proficiency with nonprofit accounting systems (SAGE Intacct preferred)
• Strong understanding of GAAP, especially for FQHC/CMHC environments
• Advanced Microsoft Office skills
• Strong analytical skills and attention to detail

Preferred Qualifications

• Experience in nonprofit healthcare (FQHC, CMHC)
• Experience in Community Action Programs or wraparound service settings

Benefits (Full-Time: 30�40 hrs/week)

• Medical & dental insurance through BCBSRI with generous employer subsidy
• Supplemental vision insurance
• Healthcare & dependent care FSAs
• 403(b) retirement plan with up to 3% employer match
• Employer-paid life insurance and long-term disability
• Generous PTO (vacation, holidays, sick, personal)
• Mileage reimbursement
• Tuition reimbursement
• Employer-paid training and continuing education
• Employee Assistance Program

Physical Requirements

Ability to lift up to 25 lbs., operate standard office equipment, and perform computer-based work for extended periods. Some movement throughout the facility is required.

Join Our Mission

If you're energized by the idea of supporting health equity and community wellbeing through strong financial stewardship, we�d love to hear from you. Apply today and help us strengthen the programs that make a difference every day.